| NPI | 1982795423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA rp441207) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH27482) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: NH PHCY-04397) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-31 |